Department of Kinesiology, University of Windsor, 401 Sunset Avenue, Windsor, Ontario, N9B 3P4, Canada.
Department of Psychology, Furman University, 3300 Poinsett Highway, Greenville, SC, 29613, USA.
Curr Obes Rep. 2020 Jun;9(2):81-97. doi: 10.1007/s13679-020-00373-2.
To review the status of community-based disordered eating and obesity prevention programs from 2014 to 2019.
In the last 5 years, prevention programs have found success in intervening with children and parental figures in wellness centers, physical activity centers, childcare centers, workplaces, online, and over-the-phone through directly reducing disordered eating and obesity or by targeting risk factors of disordered eating and obesity. Community-based prevention programs for disordered eating and programs targeting both disordered eating and obesity were scarce, highlighting the critical need for the development of these programs. Qualities of the most effective programs were those in which parents and children were educated on physical activity and nutrition via multiple group-based sessions. Limitations of current prevention programs include few programs targeting high-risk populations, a dearth of trained community members serving as facilitators, inconsistent reporting of adherence rates, and few direct measurements of disordered eating and obesity, as well as few long-term follow-ups, precluding the evaluation of sustained effectiveness.
回顾 2014 年至 2019 年基于社区的饮食失调和肥胖预防计划的现状。
在过去的 5 年中，预防计划已成功干预儿童和父母在健康中心、体育活动中心、儿童保育中心、工作场所、线上和通过电话，直接减少饮食失调和肥胖，或通过针对饮食失调和肥胖的风险因素。基于社区的饮食失调预防计划和针对饮食失调和肥胖的计划都很稀缺，这突显了开发这些计划的迫切需求。最有效的计划的特点是通过多次基于小组的会议对父母和孩子进行体育活动和营养教育。目前预防计划的局限性包括针对高危人群的计划很少，缺乏经过培训的社区成员作为促进者，坚持率的报告不一致，以及很少直接测量饮食失调和肥胖，以及很少进行长期随访，无法评估持续效果。
